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Dilatation of the ductus arteriosus

MedGen UID:
584787
Concept ID:
C0398357
Anatomical Abnormality
Synonym: Ductus arteriosus aneurysm
SNOMED CT: Aneurysm of ductus arteriosus (233990006); Ductus arteriosus aneurysm (233990006)
 
HPO: HP:0030745

Definition

Ductus arteriosus aneurysm (DAA) is a saccular dilatation of the ductus arteriosus. DAA can be either congenital or acquired (e.g. as a complication of surgical closure of a patent ductus arteriosus). Although the majority of patients with congenital DAA are asymptomatic and have a benign course, severe complications, such as rupture or thromboembolism, can occur. DAA is likely to emerge in the third trimester from the aortic junction of the DA, extending towards its pulmonary end. [from HPO]

Term Hierarchy

Conditions with this feature

Loeys-Dietz syndrome 2
MedGen UID:
382398
Concept ID:
C2674574
Disease or Syndrome
Loeys-Dietz syndrome (LDS) is characterized by vascular findings (cerebral, thoracic, and abdominal arterial aneurysms and/or dissections), skeletal manifestations (pectus excavatum or pectus carinatum, scoliosis, joint laxity, arachnodactyly, talipes equinovarus, cervical spine malformation and/or instability), craniofacial features (widely spaced eyes, strabismus, bifid uvula / cleft palate, and craniosynostosis that can involve any sutures), and cutaneous findings (velvety and translucent skin, easy bruising, and dystrophic scars). Individuals with LDS are predisposed to widespread and aggressive arterial aneurysms and pregnancy-related complications including uterine rupture and death. Individuals with LDS can show a strong predisposition for allergic/inflammatory disease including asthma, eczema, and reactions to food or environmental allergens. There is also an increased incidence of gastrointestinal inflammation including eosinophilic esophagitis and gastritis or inflammatory bowel disease. Wide variation in the distribution and severity of clinical features can be seen in individuals with LDS, even among affected individuals within a family who have the same pathogenic variant.
Loeys-Dietz syndrome 1
MedGen UID:
1646567
Concept ID:
C4551955
Disease or Syndrome
Loeys-Dietz syndrome (LDS) is characterized by vascular findings (cerebral, thoracic, and abdominal arterial aneurysms and/or dissections), skeletal manifestations (pectus excavatum or pectus carinatum, scoliosis, joint laxity, arachnodactyly, talipes equinovarus, cervical spine malformation and/or instability), craniofacial features (widely spaced eyes, strabismus, bifid uvula / cleft palate, and craniosynostosis that can involve any sutures), and cutaneous findings (velvety and translucent skin, easy bruising, and dystrophic scars). Individuals with LDS are predisposed to widespread and aggressive arterial aneurysms and pregnancy-related complications including uterine rupture and death. Individuals with LDS can show a strong predisposition for allergic/inflammatory disease including asthma, eczema, and reactions to food or environmental allergens. There is also an increased incidence of gastrointestinal inflammation including eosinophilic esophagitis and gastritis or inflammatory bowel disease. Wide variation in the distribution and severity of clinical features can be seen in individuals with LDS, even among affected individuals within a family who have the same pathogenic variant.

Professional guidelines

PubMed

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Recent clinical studies

Etiology

Wei YJ, Hsu R, Lin YC, Wong TW, Kan CD, Wang JN
Int J Mol Sci 2022 Nov 10;23(22) doi: 10.3390/ijms232213877. PMID: 36430355Free PMC Article
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Cochrane Database Syst Rev 2016 Dec 14;12(12):CD003214. doi: 10.1002/14651858.CD003214.pub3. PMID: 27960245Free PMC Article
Storme L, Aubry E, Rakza T, Houeijeh A, Debarge V, Tourneux P, Deruelle P, Pennaforte T; French Congenital Diaphragmatic Hernia Study Group
Arch Cardiovasc Dis 2013 Mar;106(3):169-77. Epub 2013 Mar 29 doi: 10.1016/j.acvd.2012.12.005. PMID: 23582679
Ng G, da Silva O, Ohlsson A
Cochrane Database Syst Rev 2012 Jun 13;(6):CD003214. doi: 10.1002/14651858.CD003214.pub2. PMID: 22696334
Radtke W, Lock J
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Diagnosis

Lupo V, Di Gregorio MG, Mastrogiorgio G, Magliozzi M, Scapillati ME, Maglione V, Romanelli E, Alegiani C, Haass C, Novelli A
Am J Med Genet A 2023 Apr;191(4):1111-1118. Epub 2023 Jan 6 doi: 10.1002/ajmg.a.63118. PMID: 36607831
Nagaraj C, Li Y, Tang B, Bordag N, Guntur D, Enyedi P, Olschewski H, Olschewski A
Int J Mol Sci 2022 Apr 23;23(9) doi: 10.3390/ijms23094681. PMID: 35563072Free PMC Article
Dunham-Snary KJ, Hong ZG, Xiong PY, Del Paggio JC, Herr JE, Johri AM, Archer SL
Pflugers Arch 2016 Jan;468(1):43-58. Epub 2015 Sep 23 doi: 10.1007/s00424-015-1736-y. PMID: 26395471Free PMC Article
Vijayalakshmi IB
Indian J Pediatr 2015 Nov;82(11):1027-32. Epub 2015 Oct 10 doi: 10.1007/s12098-015-1861-9. PMID: 26452492
Storme L, Aubry E, Rakza T, Houeijeh A, Debarge V, Tourneux P, Deruelle P, Pennaforte T; French Congenital Diaphragmatic Hernia Study Group
Arch Cardiovasc Dis 2013 Mar;106(3):169-77. Epub 2013 Mar 29 doi: 10.1016/j.acvd.2012.12.005. PMID: 23582679

Therapy

Ng G, da Silva O, Ohlsson A
Cochrane Database Syst Rev 2016 Dec 14;12(12):CD003214. doi: 10.1002/14651858.CD003214.pub3. PMID: 27960245Free PMC Article
Storme L, Aubry E, Rakza T, Houeijeh A, Debarge V, Tourneux P, Deruelle P, Pennaforte T; French Congenital Diaphragmatic Hernia Study Group
Arch Cardiovasc Dis 2013 Mar;106(3):169-77. Epub 2013 Mar 29 doi: 10.1016/j.acvd.2012.12.005. PMID: 23582679
Ng G, da Silva O, Ohlsson A
Cochrane Database Syst Rev 2012 Jun 13;(6):CD003214. doi: 10.1002/14651858.CD003214.pub2. PMID: 22696334
Nakanishi T
Curr Opin Cardiol 2000 Jul;15(4):211-5. doi: 10.1097/00001573-200007000-00002. PMID: 11139083
Radtke W, Lock J
Pediatr Clin North Am 1990 Feb;37(1):193-213. doi: 10.1016/s0031-3955(16)36840-7. PMID: 2408000

Prognosis

Uysal A, Tekin EE, Dogan OF
Heart Surg Forum 2021 Feb 17;24(1):E177-E184. doi: 10.1532/hsf.3465. PMID: 33635240
Bi WJ, Xiao YJ, Liu YJ, Hou Y, Ren WD
BMC Cardiovasc Disord 2021 Jan 6;21(1):15. doi: 10.1186/s12872-020-01837-y. PMID: 33407161Free PMC Article
Gewillig M, Brown SC, Roggen M, Eyskens B, Heying R, Givron P, Cools B, de Catte L
Acta Cardiol 2017 Dec;72(6):625-635. Epub 2017 Jul 26 doi: 10.1080/00015385.2017.1314876. PMID: 28745124
Hoffman JI
Cardiol Young 2017 Jan;27(1):55-58. Epub 2016 May 10 doi: 10.1017/S1047951116000081. PMID: 27160943
Paterick TE, Humphries JA, Ammar KA, Jan MF, Loberg R, Bush M, Khandheria BK, Tajik AJ
Am J Med 2013 Aug;126(8):670-8. Epub 2013 Jun 22 doi: 10.1016/j.amjmed.2013.01.029. PMID: 23800581

Clinical prediction guides

Kamalı H, Tanıdır İC, Erdem A, Sarıtaş T, Güzeltaş A
Pediatr Cardiol 2021 Jun;42(5):1041-1048. Epub 2021 Apr 12 doi: 10.1007/s00246-021-02578-1. PMID: 33844078
Bi WJ, Xiao YJ, Liu YJ, Hou Y, Ren WD
BMC Cardiovasc Disord 2021 Jan 6;21(1):15. doi: 10.1186/s12872-020-01837-y. PMID: 33407161Free PMC Article
Gewillig M, Brown SC, Roggen M, Eyskens B, Heying R, Givron P, Cools B, de Catte L
Acta Cardiol 2017 Dec;72(6):625-635. Epub 2017 Jul 26 doi: 10.1080/00015385.2017.1314876. PMID: 28745124
Erdoğan İ, Sarıalioğlu F
Turk Kardiyol Dern Ars 2016 Sep;44(6):498-502. doi: 10.5543/tkda.2016.65171. PMID: 27665331
Yokoyama U
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Recent systematic reviews

Kawasaki Y, Murakami Y, Fujino M, Sasaki T, Nakamura K, Yoshida Y, Suzuki T, Nishigaki K, Ehara E
Heart Vessels 2022 Jan;37(1):142-151. Epub 2021 Jun 5 doi: 10.1007/s00380-021-01887-y. PMID: 34089363
Ng G, da Silva O, Ohlsson A
Cochrane Database Syst Rev 2016 Dec 14;12(12):CD003214. doi: 10.1002/14651858.CD003214.pub3. PMID: 27960245Free PMC Article
Ng G, da Silva O, Ohlsson A
Cochrane Database Syst Rev 2012 Jun 13;(6):CD003214. doi: 10.1002/14651858.CD003214.pub2. PMID: 22696334
Mookadam F, Thota VR, Lopez AM, Emani UR, Tajik AJ
J Heart Valve Dis 2010 Nov;19(6):678-83. PMID: 21214089
Ng GY, da S, Ohlsson A
Cochrane Database Syst Rev 2001;(3):CD003214. doi: 10.1002/14651858.CD003214. PMID: 11687053

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